Individual provider Active NPI

Nicholas Alexander Raubitschek, MD

  • Family Medicine Physician
  • Hurricane, WV
National Provider Identifier
1093101248
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29933 Issued in WV
Practice address
3952 Teays Valley Rd
Hurricane, WV 25526-8728
Phone
(304) 757-6736
Fax
(304) 757-0582
NPI assigned
Apr 14, 2015
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A154119 CA
Family Medicine Physician 207Q00000X 36.16363 IL
Family Medicine Physician 207Q00000X 45880 AL
Family Medicine Physician 207Q00000X EMC0002980 MI
Family Medicine Physician 207Q00000X 69289 AZ
Family Medicine Physician 207Q00000X ME162230 FL
Family Medicine Physician 207Q00000X 94754 GA
Family Medicine Physician 207Q00000X 35.140278 OH
Family Medicine Physician 207Q00000X U2109 TX
Family Medicine Physician 207Q00000X IMLC.MD.61408269 WA
Family Medicine Physician 207Q00000X 2731-320 WI
Family Medicine Physician 207Q00000X 29933 WV Primary

Addresses

Primary practice location

3952 Teays Valley Rd
Hurricane, WV 25526-8728

Mailing address

48 Hamill Rd
Huntington, WV 25701-4755
Phone (681) 432-9270

Other practice location 1

1600 Medical Center Dr Ste 1500
Huntington, WV 25701-3657
Phone (304) 691-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicholas.raubitschek@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WV, MI, TX, WI5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20180911002459 CA Practitioner - Family Practice 6002122124
I20201215000059 WV Practitioner - Family Practice 6002122124 Reassigns benefits to 1 organization
I20231113001163 MI Practitioner - Family Practice 6002122124 Reassigns benefits to 1 organization
I20231122003427 TX Practitioner - Family Practice 6002122124
I20231128001533 WI Practitioner - Family Practice 6002122124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45880ALMDFamily Medicine Physician
69289AZMDFamily Medicine Physician
A154119CAMDFamily Medicine Physician
ME162230FLMDFamily Medicine Physician
94754GAMDFamily Medicine Physician
36.16363ILMDFamily Medicine Physician
EMC0002980MIMDFamily Medicine Physician
35.140278OHMDFamily Medicine Physician
U2109TXMDFamily Medicine Physician
IMLC.MD.61408269WAMDFamily Medicine Physician
29933WVMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: nicholas.raubitschek@marshall.cernerdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1093101248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HAMILL RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014755",
            "telephone_number": "681-432-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3952 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268728",
            "telephone_number": "304-757-6736",
            "fax_number": "304-757-0582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Medical Center Dr Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013657",
            "country_code": "US",
            "telephone_number": "304-691-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUBITSCHEK",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A154119",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36.16363",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "45880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "EMC0002980",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "69289",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162230",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "94754",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.140278",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U2109",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "IMLC.MD.61408269",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "2731-320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "29933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicholas.raubitschek@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 1500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.